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9 results on '"MESH: Diet Records"'

1. Prospective association between a dietary quality index based on a nutrient profiling system and cardiovascular disease risk

Author

Léopold Fezeu, Mehdi Menai, Mélanie Deschasaux, Serge Hercberg, Solia Adriouch, Caroline Méjean, Sandrine Péneau, Mathilde Touvier, Mathilde Donnenfeld, Chantal Julia, Pauline Ducrot, Emmanuelle Kesse-Guyot, Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle (CRESS - U1153), Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Paris 13 (UP13)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital Avicenne [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université Paris 13 (UP13)-Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC), Hôpital avicenne, Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpital Avicenne-Université Sorbonne Paris Nord, and Hôpital Avicenne-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Université Sorbonne Paris Nord

Subjects
Male, 0301 basic medicine, Index (economics), Epidemiology, Population impact, Risk Factors, MESH: Risk Factors, MESH: Diet Records, Medicine, MESH: Double-Blind Method, Prospective Studies, MESH: Incidence, Prospective cohort study, ComputingMilieux_MISCELLANEOUS, 2. Zero hunger, MESH: Middle Aged, MESH: France/epidemiology, Incidence, Incidence (epidemiology), MESH: Forecasting, Follow up studies, MESH: Follow-Up Studies, Middle Aged, Diet Records, MESH: Nutritional Status, 3. Good health, Survival Rate, Diet quality, Cardiovascular Diseases, MESH: Nutritive Value, Female, France, Cardiology and Cardiovascular Medicine, Nutritive Value, FSA-NPS, prospective study, medicine.medical_specialty, MESH: Life Style, Nutritional Status, MESH: Survival Rate/trends, MESH: Cardiovascular Diseases/prevention & control, Food Preferences, 03 medical and health sciences, Double-Blind Method, Environmental health, Humans, MESH: Food Preferences, Life Style, Nutrient profiling, nutrition policy, MESH: Cardiovascular Diseases/epidemiology, MESH: Humans, 030109 nutrition & dietetics, business.industry, Cardiovascular risk, MESH: Prospective Studies, MESH: Male, Diet, Surgery, MESH: Diet/standards, Disease risk, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, MESH: Nutrition Policy, business, nutrient profiling system, MESH: Female, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Follow-Up Studies, Forecasting
Abstract

Public health strategies are essential to guide consumers' choices and produce a substantial population impact on cardiovascular disease risk prevention through nutrition. Our aim was to investigate the prospective association between the Food Standards Agency nutrient profiling system dietary index (FSA-NPS DI) and cardiovascular disease risk. The FSA-NPS has been proposed to serve as a basis for a five-colour nutrition label suggested in France to be put on the front of pack of food products.A total of 6515 participants to the SU.VI.MAX cohort (1994-2007), who completed at least six 24-hour dietary records during the first two years of the study, were followed for a median of 12.4 years (25th-75th percentiles: 11.0-12.6). Multivariable Cox proportional hazards models were used to characterise the associations between FSA-NPS DI (continuous and sex-specific quartiles) and the incidence of cardiovascular diseases. Interactions with individual characteristics were tested; 181 major cardiovascular events were reported (59 myocardial infarctions, 43 strokes, 79 anginas). A higher FSA-NPS DI, characterising poorer food choices, was associated with an overall increase in cardiovascular disease risk (HRfor a 1-point increment = 1.14 (1.03-1.27); HRQ4vs.Q1 = 1.61 (1.05-2.47), Ptrend Q4-Q1 = 0.03). This association tended to be stronger in smokers (HRfor a 1-point increment = 1.39 (1.11-1.73); Pinteraction = 0.01) and those less physically active (HRfor a 1-point increment = 1.26 (1.08-1.46); Pinteraction = 0.04).Our results suggest that poorer food choices, as reflected by a higher FSA-NPS DI, may be associated with a significant increase in cardiovascular risk, especially in at-risk individuals (smokers and physically inactive persons). This score could be a useful tool for public health prevention strategies.ClinicalTrials.gov identifier: NCT00272428.

Published
2016

2. Prospective association between alcohol intake and hormone-dependent cancer risk: modulation by dietary fiber intake

Author

Philippine Fassier, Pilar Galan, Mélanie Deschasaux, Paule Latino-Martel, Anne-Sophie Chhim, Laurent Zelek, Nathalie Druesne-Pecollo, Serge Hercberg, Lucie Duverger, Mathilde Touvier, Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle (CRESS - U1153), Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Paris 13 (UP13)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital Avicenne [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), French Ministry of Research and Higher Education (A-SC), Canceropole Ile-de-France, Université Paris 13 (UP13)-Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC), Hôpital avicenne, Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpital Avicenne-Université Sorbonne Paris Nord, and Hôpital Avicenne-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Université Sorbonne Paris Nord

Subjects
Male, Oncology, medicine.medical_treatment, Medicine (miscellaneous), MESH: Alcohol Drinking/adverse effects, MESH: Proportional Hazards Models, Prostate cancer, Risk Factors, MESH: Risk Factors, Prostate, Sex Hormone-Binding Globulin, MESH: Diet Records, MESH: Testicular Neoplasms/epidemiology, Prospective Studies, Gonadal Steroid Hormones, Prospective cohort study, ComputingMilieux_MISCELLANEOUS, Randomized Controlled Trials as Topic, Ovarian Neoplasms, MESH: Middle Aged, Nutrition and Dietetics, alcohol, MESH: Ovarian Neoplasms/blood, MESH: Follow-Up Studies, Middle Aged, dietary fiber, prostate cancer, Diet Records, MESH: Dietary Fiber/administration & dosage, 3. Good health, medicine.anatomical_structure, Female, MESH: Breast Neoplasms/epidemiology, prospective study, Adult, MESH: Prostatic Neoplasms/blood, medicine.medical_specialty, Alcohol Drinking, MESH: Testicular Neoplasms/blood, Breast Neoplasms, [SDV.CAN]Life Sciences [q-bio]/Cancer, breast cancer, Breast cancer, Testicular Neoplasms, Internal medicine, MESH: Endometrial Neoplasms/blood, medicine, Humans, Proportional Hazards Models, MESH: Humans, business.industry, Proportional hazards model, MESH: Breast Neoplasms/blood, Prostatic Neoplasms, Cancer, MESH: Adult, MESH: Gonadal Steroid Hormones/blood, medicine.disease, hormone-dependent cancer, MESH: Prostatic Neoplasms/epidemiology, MESH: Male, MESH: Prospective Studies, Endometrial Neoplasms, MESH: Sex Hormone-Binding Globulin/metabolism, MESH: Ovarian Neoplasms/epidemiology, Steroid hormone, MESH: Randomized Controlled Trials as Topic, MESH: Endometrial Neoplasms/epidemiology, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, business, MESH: Female, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Follow-Up Studies, Hormone
Abstract

Background Alcohol intake is associated with increased circulating concentrations of sex hormones, which in turn may increase hormone-dependent cancer risk. This association may be modulated by dietary fiber intake, which has been shown to decrease steroid hormone bioavailability (decreased blood concentration and increased sex hormone-binding globulin concentration). However, this potential modulation has not been investigated in any prospective cohort. Objectives Our objectives were to study the relation between alcohol intake and the risk of hormone-dependent cancers (breast, prostate, ovarian, endometrial, and testicular) and to investigate whether dietary fiber intake modulated these associations. Design This prospective observational analysis included 3771 women and 2771 men who participated in the Supplementation en Vitamines et Mineraux Antioxydants study (1994-2007) and completed at least 6 valid 24-h dietary records during the first 2 y of follow-up. After a median follow-up of 12.1 y, 297 incident hormone-dependent cancer cases, including 158 breast and 123 prostate cancers, were diagnosed. Associations were tested via multivariate Cox proportional hazards models. Results Overall, alcohol intake was directly associated with the risk of hormone-dependent cancers (tertile 3 vs. tertile 1: HR: 1.36; 95% CI: 1.00, 1.84; P-trend = 0.02) and breast cancer (HR: 1.70; 95% CI: 1.11, 2.61; P-trend = 0.04) but not prostate cancer (P-trend = 0.3). In stratified analyses (by sex-specific median of dietary fiber intake), alcohol intake was directly associated with hormone-dependent cancer (tertile 3 vs. tertile 1: HR: 1.76; 95% CI: 1.10, 2.82; P-trend = 0.002), breast cancer (HR: 2.53; 95% CI: 1.30, 4.95; P-trend = 0.02), and prostate cancer (HR: 1.37; 95% CI: 0.65, 2.89; P-trend = 0.02) risk among individuals with low dietary fiber intake but not among their counterparts with higher dietary fiber intake (P-trend = 0.9, 0.8, and 0.6, respectively). The P-interaction between alcohol and dietary fiber intake was statistically significant for prostate cancer (P = 0.01) but not for overall hormone-dependent (P = 0.2) or breast (P = 0.9) cancer. Conclusion In line with mechanistic hypotheses and experimental data, this prospective study suggested that dietary fiber intake might modulate the association between alcohol intake and risk of hormone-dependent cancer. This trial was registered at clinicaltrials.gov as NCT00272428.

Published
2015

3. Obesity interferes with the orosensory detection of long-chain fatty acids in humans

Author

Géraldine Enderli, Déborah Ancel, Michael Chevrot, Isabelle Robin, Sylvie Issanchou, Arnaud Bernard, Bruno Vergès, Patricia Passilly-Degrace, Philippe Besnard, Marlène Gomes, Sophie Nicklaus, Physiologie de la Nutrition et Toxicologie (NUTox) (U866, Lipides et nutrition, équipe 7) ( NUTox ), Lipides - Nutrition - Cancer (U866) ( LNC ), Université de Bourgogne ( UB ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon ( ENSBANA ) -Université de Bourgogne ( UB ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon ( ENSBANA ), Centre des Sciences du Goût et de l'Alimentation [Dijon] ( CSGA ), Institut National de la Recherche Agronomique ( INRA ) -Université de Bourgogne ( UB ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Centre National de la Recherche Scientifique ( CNRS ), Université de Bourgogne ( UB ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon ( ENSBANA ), Supported by the Burgundy Council and Centre National Interprofessionnel de l'Economie Laitie're (HumanFATaste program, to PB). MC is a PhD fellow of the HumanFATaste program., Physiologie de la Nutrition et Toxicologie (NUTox) (U866, Lipides et nutrition, équipe 7) (NUTox), Lipides - Nutrition - Cancer (U866) (LNC), Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon (ENSBANA)-Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon (ENSBANA), Centre des Sciences du Goût et de l'Alimentation [Dijon] (CSGA), Institut National de la Recherche Agronomique (INRA)-Université de Bourgogne (UB)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Centre National de la Recherche Scientifique (CNRS), Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon (ENSBANA), Centre National de la Recherche Scientifique (CNRS)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Institut National de la Recherche Agronomique (INRA)-Université de Bourgogne (UB), Bernard, Arnaud, and Institut National de la Recherche Agronomique (INRA)-Université de Bourgogne (UB)-Centre National de la Recherche Scientifique (CNRS)

Subjects
Blood Glucose, Male, obesity, Chemical Phenomena, MESH : Insulin, [ SDV.AEN ] Life Sciences [q-bio]/Food and Nutrition, Cholesterol, VLDL, Medicine (miscellaneous), MESH: Food Habits, Stimulation, MESH: Energy Intake, MESH : Taste, MESH : Fasting, Body Mass Index, chemistry.chemical_compound, MESH: Cholesterol, VLDL, MESH: Diet Records, Insulin, MESH: Obesity, MESH : Physicochemical Phenomena, Completely randomized design, MESH : Food Habits, Cross-Over Studies, MESH: Middle Aged, MESH : Food Preferences, Nutrition and Dietetics, Fasting, Middle Aged, Diet Records, MESH : Triglycerides, Sensory Thresholds, Taste, MESH : Obesity, MESH: Triglycerides, medicine.medical_specialty, MESH : Male, Linoleic acid, MESH: Fasting, MESH: Insulin, MESH: Cross-Over Studies, MESH: Body Mass Index, Linoleic Acid, MESH : Diet Records, Food Preferences, BMI, MESH : Linoleic Acid, Internal medicine, Autonomic reflex, medicine, Humans, MESH : Middle Aged, human, MESH: Food Preferences, Triglycerides, MESH : Cholesterol, VLDL, MESH: Linoleic Acid, MESH: Humans, Cholesterol, business.industry, MESH : Humans, MESH : Energy Intake, Feeding Behavior, MESH : Blood Glucose, MESH : Cross-Over Studies, medicine.disease, Crossover study, Obesity, MESH: Male, fat taste, [SDV.AEN] Life Sciences [q-bio]/Food and Nutrition, MESH: Physicochemical Phenomena, MESH : Body Mass Index, Endocrinology, chemistry, MESH: Blood Glucose, MESH: Taste, food preference, MESH: Sensory Thresholds, Energy Intake, business, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Body mass index, MESH : Sensory Thresholds
Abstract

Background: The association between the orosensory detection of lipids, preference for fatty foods, and body mass index (BMI; in kg/m 2 ) is controversial in humans. Objective: We explored the oral lipid-sensing system and the orosensory-induced autonomic reflex system in lean and obese subjects. Design: Lean (BMI: 19 to ,25; n = 30) and obese (BMI .30; n = 29) age-matched men were enrolled. Their oral threshold sensitivity to linoleic acid (LA) was determined by using a 3-alternative forced-choice ascending procedure, and their eating habits were established by the analysis of 4 consecutive 24-h food-consumption diaries. The effect of brief oral lipid stimulations on plasma triglyceride [(TG)pl] concentrations was analyzed in overnight-fasted lean and obese individuals subjected to a whole-mouth stimulation (sipand-spit procedure) with a control or 1% LA emulsions for 5 min according to a within-subject randomized design. Results: A large distribution of LA detection was shown in both groups. Mean detection thresholds were 0.053% (wt:wt) and 0.071% (wt:wt) in lean and obese subjects, respectively. No relation between the LA detection threshold and BMI was observed. The 5 subjects who detected only the higher concentration of LA (5% wt: wt) or were unable to distinguish properly between control and LA emulsions were obese. An analysis of dietary habits showed that these obese LA nontasters consumed more lipids and energy than did all other subjects. Brief whole-mouth stimulations (sip-and-spit procedure) with a control or 1% LA emulsion revealed an LAmediated rise in (TG)pl concentrations in overnight-fasted, lean subjects. The origin of this change seemed to be hepatic. This (TG)pl upregulation was not shown in obese subjects, which suggested that obesity led to disturbances in the oral-brainstem-periphery loop. Conclusion: Altogether, these data strongly suggest that obesity may interfere with the orosensory system responsible for the detection of free long-chain fatty acids in humans. This trial was registered at clinicaltrials.gov as NCT02028975. Am J Clin Nutr doi: 10. 3945/ajcn.113.077198.

Published
2014

4. Associations between fruit, vegetable and legume intakes and prostate cancer risk: results from the prospective Supplémentation en Vitamines et Minéraux Antioxydants (SU.VI.MAX) cohort

Author

Paule Latino-Martel, Mathilde Touvier, Pilar Galan, Mélanie Deschasaux, Laurent Zelek, Abou Diallo, Serge Hercberg, Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle (CRESS - U1153), Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Paris 13 (UP13)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Université Paris Diderot - Paris 7 (UPD7)-Université Sorbonne Paris Cité (USPC)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Sorbonne Paris Cité (USPC)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA), Hôpital Avicenne [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université Paris 13 (UP13)-Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital avicenne, Hôpital Avicenne-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Université Sorbonne Paris Nord, Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC), Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpital Avicenne-Université Sorbonne Paris Nord, Deschasaux-Tanguy, Mélanie, Université Paris 13 (UP13)-Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM), and HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153))

Subjects
Male, Oncology, Medicine (miscellaneous), Antioxidants, SU.VI.MAX SUpplémentation en VItamines et Minéraux AntioXydants, MESH: Proportional Hazards Models, 0302 clinical medicine, Risk Factors, Prostate, MESH: Fabaceae, MESH: Risk Factors, Epidemiology, Vegetables, MESH: Diet Records, Medicine, Micronutrients, 030212 general & internal medicine, MESH: Prostatic Neoplasms/prevention & control, Prospective cohort study, Legume, 2. Zero hunger, Nutrition and Dietetics, Prostate cancer, MESH: Middle Aged, Hazard ratio, MESH: Diet Surveys, Fabaceae, Middle Aged, Legumes, Diet Records, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Cohort, HR hazard ratio, MESH: Fruit, MESH: Diet, Inverse Association, medicine.medical_specialty, PSA prostate-specific antigen, [SDV.CAN]Life Sciences [q-bio]/Cancer, Diet Surveys, Fruits, 03 medical and health sciences, [SDV.CAN] Life Sciences [q-bio]/Cancer, MESH: Prostatic Neoplasms/etiology, Internal medicine, Humans, Proportional Hazards Models, MESH: Feeding Behavior, MESH: Micronutrients, Gynecology, MESH: Humans, business.industry, Proportional hazards model, MESH: Antioxidants, Prostatic Neoplasms, Feeding Behavior, MESH: Vegetables, MESH: Male, MESH: Prospective Studies, Diet, [SDV.AEN] Life Sciences [q-bio]/Food and Nutrition, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Fruit, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, business, Prospective studies, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition
Abstract

Although experimental studies suggest that fruits, vegetables and legumes may exert protective effects against prostate carcinogenesis through various bioactive compounds such as dietary fibre and antioxidants, epidemiological evidence is lacking. Notably, very few prospective studies have investigated the relationship between legume intake and prostate cancer risk. Our objective was to prospectively investigate the association between fruit, vegetable, tomato products, potatoes and legume intakes and prostate cancer risk. This study included 3313 male participants to the SUpplémentation en VItamines et Minéraux AntioXydants cohort (follow-up: 1994–2007) who completed at least three 24-h dietary records during the first 2 years of follow-up. Associations between tertiles of intake and prostate cancer risk were assessed by multivariate Cox proportional hazards models. After a median follow-up of 12·6 years, 139 incident prostate cancers were diagnosed. An inverse association was observed between prostate cancer risk and tertiles of legume intake (hazard ratio (HR)T3v.T1=0·53; 95 % CI 0·34, 0·85; Ptrend=0·009). This association was maintained after excluding soya and soya products from the legume group (HRT3 v.T1=0·56; 95 % CI 0·35, 0·89; Ptrend=0·02). No association was observed between prostate cancer risk and tertiles of intakes of fruits (Ptrend=0·25), vegetables (Ptrend=0·91), potatoes (Ptrend=0·77) and tomato products (Ptrend=0·09). This prospective study confirms the null association between fruit and non-starchy vegetable intakes and prostate cancer risk observed in most previous cohorts. In contrast, although very few prospective studies have been published on the topic, our results suggest an inverse association between legume intake and prostate cancer risk, supported by mechanistic plausibility. These results should be confirmed by large-scale observational and intervention studies.

Published
2016

5. Prospective association between dietary folate intake and skin cancer risk: results from the Supplémentation en Vitamines et Minéraux Antioxydants cohort

Author

Mélanie Deschasaux, Abou Diallo, Mathilde Touvier, Khaled Ezzedine, Mathilde Donnenfeld, Pilar Galan, Paule Latino-Martel, Serge Hercberg, Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle (CRESS - U1153), Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Paris 13 (UP13)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital Avicenne [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de dermatologie [Avicenne], Université Paris 13 (UP13)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Avicenne [AP-HP], French Ministry of Research and Higher Education, Canceropole Ile-de-France, Université Paris 13 (UP13)-Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC), Hôpital avicenne, Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpital Avicenne-Université Sorbonne Paris Nord, Université Paris 13 (UP13)-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpital Avicenne, Hôpital Avicenne-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Université Sorbonne Paris Nord, and Hôpital Avicenne-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Université Paris 13 (UP13)

Subjects
Oncology, Male, Erythrocytes, Skin Neoplasms, Medicine (miscellaneous), MESH: Folic Acid/adverse effects, medicine.disease_cause, MESH: Carcinoma, Basal Cell/blood, Cohort Studies, MESH: Proportional Hazards Models, 0302 clinical medicine, Dietary folate, MESH: Diet Records, Medicine, MESH: Double-Blind Method, MESH: Incidence, MESH: Skin Neoplasms/blood, Prospective cohort study, BCC, MESH: Cohort Studies, ComputingMilieux_MISCELLANEOUS, MESH: Skin Neoplasms/epidemiology, 0303 health sciences, Nutrition and Dietetics, MESH: Middle Aged, MESH: Risk, integumentary system, MESH: Erythrocytes/chemistry, MESH: France/epidemiology, Incidence, MESH: Follow-Up Studies, Middle Aged, Diet Records, NMSC, 3. Good health, 030220 oncology & carcinogenesis, Cohort, skin cancer risk, Female, France, prospective study, Adult, Risk, medicine.medical_specialty, MESH: Lost to Follow-Up, [SDV.CAN]Life Sciences [q-bio]/Cancer, folate, MESH: Carcinoma, Basal Cell/epidemiology, MESH: Carcinoma, Basal Cell/etiology, 03 medical and health sciences, Folic Acid, Sex Factors, Double-Blind Method, MESH: Sex Factors, Internal medicine, Humans, MESH: Diet/adverse effects, Basal cell carcinoma, 030304 developmental biology, Proportional Hazards Models, Gynecology, MESH: Folic Acid/blood, MESH: Humans, business.industry, Proportional hazards model, MESH: Adult, medicine.disease, MESH: Male, Diet, Increased risk, MESH: Skin Neoplasms/etiology, Carcinoma, Basal Cell, Lost to Follow-Up, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Skin cancer, business, Carcinogenesis, MESH: Female, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Follow-Up Studies
Abstract

Background: The role of folate in skin carcinogenesis is unclear, with experimental data suggesting potentially protective but also deleterious effects. Objective: Our main objective was to investigate the prospective association between dietary folate intake and risks of skin cancer (overall), nonmelanoma skin cancer (NMSC), and basal cell carcinoma (BCC). As an exploratory analysis, we also investigated the prospective association between erythrocyte folate concentration and skin cancer risk. Design: In this study, we included 5880 participants in the Supplementation en Vitamines et Mineraux Antioxydants (SU.VI.MAX) cohort (follow-up: 1994–2007) who completed at least six 24-h dietary records during the first 2 y of the study. Associations between sexspecific tertiles of dietary and erythrocyte folate and skin cancer risk were assessed by using multivariate Cox proportional hazards models. Results: After a median follow-up of 12.6 y, 144 incident skin cancers were diagnosed. Dietary folate intake was associated with increased risk of overall skin cancer [HR for tertile 3 compared with tertile 1 (HRT3vs.T1): 1.79; 95% CI: 1.07, 2.99; P-trend = 0.03], NMSC (HRT3vs.T1: 1.85; 95% CI: 1.06, 3.23; P-trend = 0.03), and BCC (HRT3vs.T1: 1.78; 0.98, 3.24; P-trend = 0.05). This association was observed in women (corresponding P-trend = 0.007, 0.009, and 0.009, respectively) but not in men (P-trend = 0.8, 0.8, and 0.9, respectively). P-interaction values between tertiles of dietary folate intake and sex were 0.04, 0.02, and 0.02 for overall skin cancer, NMSC, and BCC, respectively. Erythrocyte folate concentration was directly associated with increased risk of overall skin cancer (HRT3vs.T1: 2.54; 95% CI: 0.95, 6.81; P-trend = 0.03), NMSC (HRT3vs.T1: 3.49; 95% CI: 1.11, 11.0; P-trend = 0.01), and BCC (HRT3vs.T1: 7.44; 95% CI: 1.57, 35.3; P-trend = 0.004) (men and women combined). Conclusions: This prospective study suggests an association between dietary folate intake and erythrocyte folate concentration and increased risk of overall skin cancer, NMSC, and BCC. Although several mechanistic hypotheses and 2 previous large prospective studies on BCC are in line with these results, epidemiologic literature is limited, and future research is needed to better elucidate the potential role of folate in the cause of skin cancers. The SU.VI.MAX trial was registered at clinicaltrials.gov as NCT00272428. Am J Clin Nutr 2015;102:471–8.

Published
2015

6. Mirabel: an integrated project for risk and cost/benefit analysis of peanut allergy

Author

C. Loynet, X. Van Der Brempt, Guy Millet, Amélie Crépet, S. Ait-Dahmane, C.F. Elegbede, S. Marette, A. Papadopoulos, Denise-Anne Moneret-Vautrin, Olivier Bruyère, Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), Economie Publique (ECO-PUB), AgroParisTech-Institut National de la Recherche Agronomique (INRA), Clinic Saint-Luc, Bouge, Namur, Université de Liège, Faculty of Medicine, Nancy, ANR MIRABEL ANR-10-ALIA-012-01, Institut National de la Recherche Agronomique (INRA)-AgroParisTech, and ANR-10-ALIA-0012,MIRABEL,Approche intégrée pour l'évaluation du risque et des coûts/bénéfices liés aux allergènes alimentaires(2010)

Subjects
Male, Allergy, Pediatrics, Cost-Benefit Analysis, Peanut allergy, Toxicology, 0302 clinical medicine, analyse coût bénéfices, Risk Factors, MESH: Diet Records, Medicine, Child, allergie alimentaire, Risk management, Risk assessment, 2. Zero hunger, education.field_of_study, [STAT.AP]Statistics [stat]/Applications [stat.AP], Peanut allergen, Cost–benefit analysis, 04 agricultural and veterinary sciences, General Medicine, 040401 food science, Diet Records, MESH: Peanut Hypersensitivity, 3. Good health, Food labelling, Female, France, Adult, medicine.medical_specialty, Adolescent, Population, [QFIN.RM]Quantitative Finance [q-fin]/Risk Management [q-fin.RM], 03 medical and health sciences, Young Adult, 0404 agricultural biotechnology, Food allergy, Environmental health, Humans, Peanut Hypersensitivity, education, business.industry, Public health, medicine.disease, arachide, 030228 respiratory system, Allergic consumer behaviors, business, MESH: Cost-Benefit Analysis
Abstract

Food allergy is a major public health issue. However, no regulatory measures exist when allergens are present at trace levels and the different risk components are poorly described. Thus, knowledge on exposure components such as the allergens present in foods and the consumption behaviour of allergic consumers and models to estimate the related risk need to be enriched. Mirabel proposes for the first time studying each risk component using an integrated approach in order to improve the quality of life of the allergic population. Field surveys were conducted in order to fill in the current gaps in unintentional allergen traces in food, allergic consumers' food behaviour, threshold doses of allergic reaction, allergy symptoms and severity. The aim is also to propose methodological and operational tools to quantify allergic risk, to test management scenarios and to produce a cost/benefit analysis. Medical data on the peanut allergies of 785 patients were collected in the MIRABEL survey and 443 patients answered the food consumption questionnaire. The population surveyed was mostly paediatric - 86% were children under 16 years of age, with a high percentage of males (60%). This project will generate tangible results on peanut allergen exposure and risk which could be used in future risk assessment work and particularly to provide science-based guidance to set up concentration limits for peanut traces on packages; L'allergie alimentaire est un enjeu majeur de santé publique. Ce texte présente en détail le protocole Mirabel concernant l’allergie à l’arachide. L'objectif de ce projet est de proposer des outils méthodologiques et opérationnels pour quantifier le risque allergique, pour tester des scénarios de gestion, et de produire une analyse coût / bénéfice concernant ces scénarios de gestion visant à réduire le risque. Les analyses à venir seront réalisées à partir des données médicales de 785 patients et des habitudes de consommation alimentaires de 443 patients.

Published
2015

7. Prospective association between cancer risk and an individual dietary index based on the British Food Standards Agency Nutrient Profiling System

Author

Paule Latino-Martel, Caroline Méjean, Emmanuelle Kesse-Guyot, Mathilde Touvier, Chantal Julia, Mélanie Deschasaux, Serge Hercberg, Sandrine Péneau, Léopold Fezeu, Pauline Ducrot, Mathilde Donnenfeld, Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle (CRESS - U1153), Université Paris 13 (UP13)-Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital Avicenne [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), French Ministry of Health (DGS), National Institute for Prevention and Health Education (INPES), French Ministry of Research and Higher Education, Canceropole Ile-de-France, Deschasaux-Tanguy, Mélanie, Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Paris 13 (UP13)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Université Paris 13 (UP13)-Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Hôpital avicenne, Hôpital Avicenne-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Université Sorbonne Paris Nord, Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Public Health Department, Institut National de la Recherche Agronomique (INRA), French Ministry of Research and Higher Education (internship grant), Cancéropôle Ile-de-France, Ile-de-France Region (PhD grant), ProdInra, Migration, Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Université Paris Diderot - Paris 7 (UPD7)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC), and Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpital Avicenne-Université Sorbonne Paris Nord

Subjects
Male, MESH: United Kingdom, MESH: Neoplasms*/diagnosis, 030309 nutrition & dietetics, MESH: Neoplasms*/epidemiology, Medicine (miscellaneous), MESH: Energy Intake, Food Standards Agency Nutrient Profiling System, Placebos, SU.VI.MAX SUpplémentation en VItamines et Minéraux AntioXydants, Prostate cancer, Cancer risk, 0302 clinical medicine, Food Labeling, Risk Factors, MESH: Risk Factors, Neoplasms, MESH: Diet Records, MESH: Double-Blind Method, 030212 general & internal medicine, Food science, MESH: Food Labeling, Prospective cohort study, 2. Zero hunger, 0303 health sciences, Nutrition and Dietetics, MESH: Middle Aged, MESH: France/epidemiology, Hazard ratio, MESH: Food/standards, Middle Aged, Diet Records, 3. Good health, FSA-NPS DI Food Standards Agency Nutrient Profiling System Dietary Index, MESH: Nutritive Value, Cohort, Female, France, HR hazard ratio, Nutritive Value, MESH: Diet, medicine.medical_specialty, Nutrition policy, MESH: Placebos, [SDV.CAN]Life Sciences [q-bio]/Cancer, Nutrition facts label, Food Preferences, 03 medical and health sciences, Double-Blind Method, [SDV.CAN] Life Sciences [q-bio]/Cancer, medicine, Humans, MESH: Food Preferences, Nutrient profiling systems, MESH: Humans, Proportional hazards model, business.industry, Public health, medicine.disease, United Kingdom, MESH: Male, MESH: Prospective Studies, Diet, [SDV.AEN] Life Sciences [q-bio]/Food and Nutrition, Food, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Energy Intake, business, Prospective studies, MESH: Female, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Demography
Abstract

The Food Standards Agency Nutrient Profiling System (FSA-NPS) constitutes the basis for the Five-Colour Nutrition Label suggested in France to be put on the front-of-pack of food products. At the individual level, a dietary index (FSA-NPS DI) has been derived and validated and corresponds to a weighted mean of all FSA-NPS scores of foods usually consumed by the individual, reflecting the nutritional quality of his/her diet. Our aim was to investigate the association between the FSA-NPS DI and cancer risk in a large cohort. This prospective study included 6435 participants to the SUpplémentation en VItamines et Minéraux AntioXydants cohort (1994–2007) who completed at least six 24 h dietary records during the first 2 years of follow-up. FSA-NPS DI was computed for each subject (higher values representing lower nutritional quality of the diet). After a median follow-up of 12·6 years, 453 incident cancers were diagnosed. Associations were characterised by multivariate Cox proportional hazards models. The FSA-NPS DI was directly associated with overall cancer risk (hazard ratio (HR)for a 1-point increment=1·08 (95 % CI 1·01, 1·15), Ptrend=0·02; HRQ5 v. Q1=1·34 (95 % CI 1·00, 1·81), Ptrend=0·03). This association tended to be more specifically observed in subjects with moderate energy intake (≤median, HRfor a 1-point increment=1·10 (95 % CI 1·01-1·20), Ptrend=0·03). No association was observed in subjects with higher energy intake (Ptrend=0·3). Results were not statistically significant for breast and prostate cancer risks. For the first time, this study investigated the prospective association between the FSA-NPS individual score and cancer risk. The results suggest that unhealthy food choices may be associated with a 34 % increase in overall cancer risk, supporting the public health relevance of developing front-of-pack nutrition labels based on this score.

Published
2015

8. An unfavorable dietary pattern is associated with symptomatic ischemic stroke and carotid atherosclerosis

Author

François Paillard, Véronique Golfier, Guillaume Mahé, Jean-Michel De Bray, Bruno Laviolle, Thomas Ronzière, Thomas Cochery, Biologie Neurovasculaire et Mitochondriale Intégrée (BNMI), Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Service de Neurologie [Rennes] = Neurology [Rennes], CHU Pontchaillou [Rennes], Pharmacologie du Sepsis et Choc Septique, Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM)-Service de Pharmacologie [Rennes], CHU Pontchaillou [Rennes]-CHU Pontchaillou [Rennes], Service de neurologie [Angers], Université d'Angers (UA)-Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM)-PRES Université Nantes Angers Le Mans (UNAM), Service de cardiologie et maladies vasculaires [Rennes] = Cardiac, Thoracic, and Vascular Surgery [Rennes], and Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM)-Service de Pharmacologie [Rennes]

Subjects
Carotid Artery Diseases, Male, MESH: Food Habits, 030204 cardiovascular system & hematology, Gastroenterology, Brain Ischemia, Brain ischemia, Fatty Acids, Monounsaturated, Hospitals, University, 0302 clinical medicine, MESH: Fatty Acids, Omega-3, Risk Factors, MESH: Risk Factors, Vegetables, MESH: Diet Records, MESH: Fatty Acids, Omega-6, Stroke, chemistry.chemical_classification, Ultrasonography, Doppler, Duplex, MESH: Middle Aged, Cerebral infarction, Fatty Acids, food and beverages, MESH: Brain Ischemia, MESH: Life Style, Middle Aged, MESH: Case-Control Studies, Diet Records, 3. Good health, MESH: Fatty Acids, MESH: Fatty Acids, Monounsaturated, Female, France, Cardiology and Cardiovascular Medicine, MESH: Fruit, Polyunsaturated fatty acid, Adult, medicine.medical_specialty, MESH: Ultrasonography, Doppler, Duplex, [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery, Hospitals, General, MESH: Stroke, Central nervous system disease, Duplex scanning, 03 medical and health sciences, MESH: Diet, Internal medicine, Fatty Acids, Omega-6, Fatty Acids, Omega-3, medicine, Humans, Life Style, MESH: Hospitals, University, MESH: Humans, Vascular disease, business.industry, MESH: Carotid Artery Diseases, Case-control study, MESH: Hospitals, General, MESH: Adult, Feeding Behavior, medicine.disease, MESH: Vegetables, MESH: Male, Surgery, Diet, MESH: France, chemistry, Case-Control Studies, Fruit, business, MESH: Female, 030217 neurology & neurosurgery
Abstract

International audience; OBJECTIVE: Ischemic strokes represent more than 80% of total strokes in Western countries. The influence of dietary factors on ischemic stroke risk is debated mainly because available data are limited. Our objective was to compare the dietary pattern of symptomatic ischemic stroke patients under 65 years old with control subjects using a validated 14-item food frequency questionnaire (FFQ). We also compared symptomatic ischemic stroke patients with carotid atherosclerosis with those without according to the presence or the absence of carotid plaque defined by duplex scanning. METHODS: This was a case-control multi-center study that took place in one University hospital and two general hospitals in France. One hundred twenty-four symptomatic ischemic stroke patients (confirmation by a neurologist and imaging; 66% smokers) and 50 controls (34% smokers) without any known cardiovascular disease or previous nutritional advice were included. The main outcome measure(s) were intake scores for saturated (SFA), monounsaturated (MUFA), Omega-3 polyunsaturated (Omega-3 PUFA), and Omega-6 polyunsaturated fatty acids (Omega-6PUFA). Fruit and vegetables and an overall cardiovascular dietary score were evaluated with the FFQ. The overall cardiovascular score is calculated as (MUFA + Omega-3 PUFA + fruits and vegetables) - (SFA) scores. RESULTS: Compared with controls, ischemic stroke patients had a higher SFA score (6.6 +/- 3.0 vs 4.9 +/- 2.7; P < .001), lower scores of MUFA (0.8 +/- 0.9 vs 1.5 +/- 1.2; P < .001), Omega-3 PUFA (1.7 +/- 1.6 vs 2.2 +/- 1.5; P = .013), Omega-6PUFA (2.6 +/- 2.5 vs 3.9 +/- 2.7; P = .002), fruit and vegetables (2.9 +/- 1.7 vs 3.8 +/- 1.6; P = .005), and a lower overall dietary score (-1.2 +/- 5.0 vs 2.5 +/- 4.4; P < .001). These results remained statistically significant after adjustment for age, gender, and smoking status. Ischemic stroke patients with carotid atherosclerosis (n = 54) had a worse overall cardiovascular dietary score than those without (n = 68): -2.2 +/- 4.4 vs -0.2 +/- 5.2; P = .024. CONCLUSION: Compared with controls, ischemic stroke patients, especially those with carotid atherosclerosis, have an unfavorable dietary pattern (high SFA, low fruit and vegetables, and Omega-3 PUFA consumptions) that may have been a facilitating condition of the ischemic stroke. Dietary recommendations of a healthy diet should be useful in ischemic stroke prevention, especially in patients with cardiovascular risk factors.

Published
2010

9. Validation of a food-frequency questionnaire for Flemish and Italian-native subjects in Belgium: The IMMIDIET study

Author

Van Dongen, Martien C J M, Lentjes, Marleen A H, Wijckmans, Nicole E G, Dirckx, Carla, Lemaître, Dirk, Achten, Ward, Celis, Marleen, Sieri, Sabina, Arnout, Jef, Buntinx, Frank, Siani, Alfonso, Cappuccio, Francesco P, De Lorgeril, Michel, Iacoviello, Licia, Dagnelie, Pieter C, Renseigné, Non, Nutritional Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Department of General Practice, Catholic University of Leuven - Katholieke Universiteit Leuven (KU Leuven), Physics Department, Università degli Studi di Roma 'La Sapienza' = Sapienza University [Rome], Physiologie cardio-Respiratoire Expérimentale Théorique et Appliquée (TIMC-IMAG-PRETA), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF), Family Medicine, Epidemiologie, RS: CAPHRI School for Public Health and Primary Care, and RS: CARIM School for Cardiovascular Diseases

Subjects
Male, Mediterranean diet, 030309 nutrition & dietetics, Endocrinology, Diabetes and Metabolism, MESH: Food Habits, MESH: Energy Intake, Food-frequency questionnaire, 0302 clinical medicine, MESH: Belgium, Belgium, Surveys and Questionnaires, Validation, MESH: Diet Records, 030212 general & internal medicine, 2. Zero hunger, 0303 health sciences, Nutrition and Dietetics, MESH: Middle Aged, MESH: Diet Surveys, Food composition data, Middle Aged, Diet Records, Quartile, Italy, language, Female, Social status, Adult, medicine.medical_specialty, Diet Surveys, 03 medical and health sciences, MESH: Diet, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, medicine, Humans, Dietary Habit Profile in European Communities With Different Risk of Myocardial Infarction: the Impact of Migration as a Model of Gene/Environment Interaction (IMMIDIET), Risk factor, MESH: Humans, business.industry, MESH: Questionnaires, MESH: Italy, MESH: Adult, Feeding Behavior, 24-h Recall, language.human_language, MESH: Male, Surgery, Diet, Flemish, business, Energy Intake, Body mass index, MESH: Female, Demography
Abstract

International audience; OBJECTIVE: To validate an integrated food-frequency questionnaire (FFQ) developed to assess habitual food intake of Flemish and Italian-native subjects in Belgium as part of the European Collaborative Dietary Habit Profile in European Communities With Different Risk of Myocardial Infarction: the Impact of Migration as a Model of Gene/Environment Interaction (IMMIDIET Project). METHODS: The semiquantitative FFQ contained 322 items on food and food preparation. FFQs filled by a sample (n = 70) of the Flemish-Flemish and Flemish-Italian IMMIDIET subpopulations were randomly selected. Five 24-h recalls, administered over a period of 1 y by the same sample, served for validation. Energy and macronutrients were calculated using the Dutch NEVO and the Belgian NUBEL food composition tables. Intakes of energy and macronutrients estimated by the FFQ and repeated 24-h recall, respectively, were compared by means of correlation coefficients, classification into quartiles, and Bland-Altman plotting. RESULTS: The FFQ overestimated intake of energy and most macronutrients by 40-70%. This overestimation largely disappeared when values were expressed as energy percentage. Correlations ranked from 0.40 to 0.60 for energy and most macronutrients (median 0.53); correlations were lower (null to 0.41) for fat and higher (up to 0.90) for alcohol. Classification in quartiles of intake showed good agreement: 83% were classified in the same or adjacent quartile of energy, and 66-90% for macronutrients. Correlations and classification of macronutrient intake into quartiles remained similar when macronutrients were expressed as energy percentage. Stratification according to ethnic subgroup, age, body mass index, or social status showed no differences. CONCLUSION: The IMMIDIET FFQ is a valuable tool for studies of the role of energy and macronutrients in disease etiology or outcome, but less suitable for estimating absolute intake levels.

Published
2010

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